How much rates vary
Facilitymedian $427 · 10th to 90th $47 to $794Professionalmedian $589 · 10th to 90th $95 to $2,884
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $213.80 Median $363.08 Typical High $794.33 | Facility | None | $213.80 | $363.08 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $407.38 | $426.58 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $54.95 | $54.95 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $371.54 Typical High $630.96 | Professional | TC · Technical part | $346.74 | $371.54 | $630.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $537.03 Median $1,318.26 Typical High $1,778.28 | Facility | None | $537.03 | $1,318.26 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $331.13 Median $1,621.81 Typical High $2,884.03 | Professional | None (both parts) | $331.13 | $1,621.81 | $2,884.03 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $218.78 Typical High $354.81 | Professional | 26 · Professional part | $64.57 | $218.78 | $354.81 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $1,513.56 Typical High $2,511.89 | Professional | TC · Technical part | $380.19 | $1,513.56 | $2,511.89 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $602.56 | Facility | None | $389.05 | $457.09 | $602.56 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $1,047.13 | Professional | None (both parts) | $588.84 | $588.84 | $1,047.13 |
BCBS Massachusetts Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $64.57 | $64.57 | $112.20 |
BCBS Massachusetts Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $977.24 | Professional | TC · Technical part | $524.81 | $524.81 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $588.84 Typical High $891.25 | Facility | None | $194.98 | $588.84 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $616.60 Typical High $1,380.38 | Professional | None (both parts) | $537.03 | $616.60 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $549.54 Typical High $1,230.27 | Professional | TC · Technical part | $446.68 | $549.54 | $1,230.27 |
Fallon Health Setting Facility Modifier None Typical Low $41.69 Median $346.74 Typical High $741.31 | Facility | None | $41.69 | $346.74 | $741.31 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $346.74 Typical High $776.25 | Professional | None (both parts) | $41.69 | $346.74 | $776.25 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $501.19 Median $724.44 Typical High $1,412.54 | Professional | None (both parts) | $501.19 | $724.44 | $1,412.54 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $95.50 | $162.18 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $724.44 Typical High $1,230.27 | Professional | TC · Technical part | $446.68 | $724.44 | $1,230.27 |
Health New England Setting Facility Modifier None Typical Low $407.38 Median $562.34 Typical High $1,096.48 | Facility | None | $407.38 | $562.34 | $1,096.48 |
Health New England Setting Professional Modifier None (both parts) Typical Low $125.89 Median $446.68 Typical High $478.63 | Professional | None (both parts) | $125.89 | $446.68 | $478.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $537.03 Median $1,318.26 Typical High $1,778.28 | Facility | None | $537.03 | $1,318.26 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $331.13 Median $1,621.81 Typical High $2,884.03 | Professional | None (both parts) | $331.13 | $1,621.81 | $2,884.03 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $218.78 Typical High $354.81 | Professional | 26 · Professional part | $64.57 | $218.78 | $354.81 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $1,513.56 Typical High $2,511.89 | Professional | TC · Technical part | $380.19 | $1,513.56 | $2,511.89 |
United Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $851.14 | Facility | None | $302.00 | $575.44 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $645.65 Typical High $1,737.80 | Professional | None (both parts) | $190.55 | $645.65 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $218.78 | Professional | 26 · Professional part | $60.26 | $83.18 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $616.60 Typical High $1,513.56 | Professional | TC · Technical part | $169.82 | $616.60 | $1,513.56 |
Well Sense Setting Facility Modifier None Typical Low $354.81 Median $489.78 Typical High $724.44 | Facility | None | $354.81 | $489.78 | $724.44 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $95.50 | Facility | 26 · Professional part | $41.69 | $53.70 | $95.50 |
Well Sense Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $407.38 Typical High $724.44 | Facility | TC · Technical part | $309.03 | $407.38 | $724.44 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $218.78 | $218.78 | $263.03 |
Well Sense Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $53.70 | Professional | 26 · Professional part | $39.81 | $44.67 | $53.70 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $208.93 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $83.18 | $85.11 | $93.33 |
Where Massachusetts sits
The same service costs 3.0 times more in Alaska than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 15th of 51
$589
AK $933NM $309
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.